| NPI | 1942047618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 12.013468) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CT 13468) |
| 363L00000X Nurse Practitioner (Licence: RI APRN04189) | |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-09-06 |